A client with cystic fibrosis (CF) presents with clubbed fingers during a routine examination. What should the nurse explain to the client regarding the significance of clubbing in CF?
"Clubbed fingers are a common cosmetic concern but do not indicate any medical issues in CF."
"Clubbing of the fingers can be a sign of advanced lung disease or decreased oxygen levels in CF."
"Clubbing occurs as a result of excessive sodium intake, which is often seen in CF patients."
"Clubbing is primarily associated with digestive problems in CF and does not affect the respiratory system."
The Correct Answer is B
A) Incorrect. Clubbed fingers in CF can be more than a cosmetic concern and may indicate underlying medical issues.
B) Correct. Clubbing of the fingers can be associated with advanced lung disease or reduced oxygen levels in CF.
C) Incorrect. Clubbing is not related to excessive sodium intake in CF patients.
D) Incorrect. While CF can affect the digestive system, clubbing of the fingers is primarily associated with respiratory issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Protein intake is important for growth and repair but should not be limited in CF. High-calorie intake is more critical.
B) Correct. CF can lead to malabsorption of fat-soluble vitamins and calories, so a high-fat diet is recommended to support weight gain and nutrient absorption.
C) Incorrect. Dairy products are a good source of calcium and calories, and they are generally well-tolerated by CF patients. Avoiding them is not necessary.
D) Incorrect. Increasing sugary snacks is not advisable for CF patients. They need a balanced diet to meet their nutritional needs.
Correct Answer is C
Explanation
A) Incorrect. CF is not caused by an extra chromosome; it is a genetic disorder resulting from mutations in specific genes.
B) Incorrect. CF is not characterized by a duplication of the CFTR gene but rather by various mutations in this gene.
C) Correct. CF is primarily caused by mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene, leading to the production of dysfunctional chloride channels.
D) Incorrect. CF is not characterized by the absence of the CFTR gene; instead, it involves various mutations in this gene.
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